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Medicare Advantage Preferred Provider Organization (MA PPO)
Applicable to enrollees from other Blue Cross Blue Shield Medicare Advantage Plans who obtain health care services within the 5-county Philadelphia service area.
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Notification
Radiologic Guidance and/or Supervision and Interpretation of a Procedure
Notification Issued Date:
N/A
MPNotificationDescriptionPub
This policy will become effective 10/12/2020. The policy title has been changed to Radiologic Guidance and/or Supervision and Interpretation of a Procedure.
The Company’s reimbursement position has clarified our continued position that Radiologic Guidance and/or Supervision and Interpretation when performed in conjunction with non-covered services is not covered.
The following CPT codes have been
termed
(no longer valid codes) and removed from this policy: 0080T, 0081T, 75724, 75940.
The following CPT codes have been
removed
from this policy: 76936, G0278.
Policy Attachment
Attachment to Policy #
MA00.019j
Attachment:
A
Policy #:
MA00.019j
Description:
Radiologic Guidance and Supervision and Interpretation Procedure Codes
Title:
Radiologic Guidance and/or Supervision and Interpretation of a Procedure
MPNewsFLASHPub
MPBodyPub
RADIOLOGIC GUIDANCE AND SUPERVISION AND INTERPRETATION PROCEDURE CODES
The following codes represent services for radiologic guidance or supervision and/or interpretation of a procedure.
Inclusion of a code in this policy table does not guarantee reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and applicable policies apply.
CODE
0075T
0076T
70010
70015
70170
70332
70390
72240
72255
72265
72270
72285
72295
73040
73085
73115
73525
73580
73615
74190
74235
74300
74301
74328
74329
74330
74340
74355
74360
74363
74425
74430
74440
74445
74450
74455
74470
74485
74740
74742
75600
75605
75625
75630
75705
75710
75716
75726
75731
75733
75736
75741
75743
75746
75756
75774
75801
75803
75805
75807
75809
75810
75820
75822
75825
75827
75831
75833
75840
75842
75860
75870
75872
75880
75885
75887
75889
75891
75893
75894
75901
75902
75956
75957
75958
75959
75970
75984
75989
76080
76376
76377
76932
76937
76940
76941
76942
76945
76946
76948
76965
76975
76977
76998
77001
77002
77003
77011
77012
77013
77014
77021
77022
77053
77054
77387
92242
92978
92979
93662
G6001
G6002
Version Effective Date:
08/01/2022
Version Issued Date:
08/01/2022
Version Reissued Date:
06/26/2024
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